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Diabetes Update 113: Karen LaVine

December 1, 2007

By David Mendosa


Karen LaVine

Karen LaVine
RN, CDE

This month Diabetes Update features an important new article by Certified Diabetes Educator Karen LaVine. Her article, “Who Needs a CDE?,” describes the six situations when you need one as well as how to find one and how to determine if the one you found meets your needs. The URL is this

My most recent articles are:

  • My New Diabetes Articles for Health Central
    So far I have written more than 225 articles for Health Central about all aspects of diabetes. In November they published nine more of my new diabetes articles:

    1. Another Reason to Lose Weight. We have long known that being overweight leads to heart attacks and strokes, the major cause of death in this country, especially for people with diabetes. But not until now did we know for sure that taking off extra pounds is also the best way to avoid the number 2 killer, cancer.

    2. The Trouble with Diet Soda. Recent studies indicate that drinking diet soda can lead to our gaining weight. They can raise the A1C levels of those of us who have diabetes. And drinking them is also associated with a greater risk of heart disease. This article shows how.

    3. Eat High-Carb Low-GI Breakfast, Think Better. A new Ph.D. dissertation show that whole barley makes us think more clearly that three other grains do. The people who had whole barley for breakfast could concentrate better and had a better working memory than those in the other groups. The dissertation also show that low GI foods that have enough indigestible carbohydrates  — dietary fiber and resistant starch  —  can keep our blood glucose level low for up to ten hours and keep us feeling full.

    4. Clever Chek Meter. This simple little meter has only one button. But it has all the features that we need. And it’s reasonably priced.

    5. The Trouble with Fructose. Fructose is strange because it is the sweetest sugar and yet has the lowest glycemic index. The trouble with fructose is its impact on the liver, which almost exclusively metabolizes it, unlike glucose, which goes directly into our bloodstream. Even worse: High-fructose diets lead us to secrete more insulin, which in turn leads to more insulin resistance.

    6. Inflammation  —  Not Obesity  —  Leads to Diabetes. No one has ever demonstrated that obesity causes diabetes or even insulin resistance. Now researchers at the University of California, San Diego, School of Medicine have discovered the connection between body fat and diabetes. Inflammation is the key. Their research proves that obesity without inflammation does not result in insulin resistance, much less diabetes.

    7. The Trouble with Non-Caloric Sweeteners. Even those sweeteners that don’t provide any calories aren’t a free lunch for our digestive system. Some research show that they can raise our levels of circulating insulin, which makes us hungry so we will probably eat more.

    8. Snowshoeing. Just because it’s getting colder and in much of the country snow has begun to fall doesn’t mean that we have to stay indoors. We can still get the exercise that everyone needs outside where it’s a lot more pleasant. The solution for me is snowshoeing, which is nothing more than walking with long, wide boots, especially if you start out on pretty level terrain. I am really looking forward to snow this winter.

    9. FiberPasta Challenges Dreamfields. An Italian company is poised to enter the American market with its FiberPasta for people with diabetes. They are challenging Dreamfields Pasta. I compare the two brands and pick the victor.

Dr. Richard K. Bernstein’s Webcast:

    The next “Ask Dr. Bernstein” webcast and teleconference call is scheduled for January 16 at 7 p.m. EST. Just go to www.diabetes911.net and register for the call. It’s free.

Announcements:

  • Health Central
    The Health Central Network continues to get better and better. It will now notified you by email of new articles (SharePosts) by me or anyone who posts at HealthCentral.com. Just click on “Subscribe” wherever you see that button there. The new software also now permits threaded replies to comments. So you will see more replies from me than I have posted since the major site revamp on March 1.

    Each month I describe and link my new Health Central articles here. But you can also use a blog reader to keep up with my articles more quickly. I use Bloglines, as I describe in my article, “Reading Health Blogs.” Go to bloglines.com, click on feeds, click on add, (both in left pane), then in center pane enter at “Blog or Feed URL” click on www.healthcentral.com/diabetes/c/17/rss/. Alternatively, you can subscribe to my new articles at Health Central by taking your browser to http://www.bloglines.com/sub/http://www.healthcentral.com/diabetes/c/17/.

  • This Newsletter
    Diabetes Update keeps you up-to-date with new articles, Web pages, and books that I have written about diabetes.

    I list and link most of these on my at Diabetes Directory and in the site’s menu at the upper left of all my Web pages.

    From time to time Diabetes Update may also include links to other Web pages of special interest.

  • HTML Format
    I send out Diabetes Update email in HTML format, which all Web browsers and most modern email programs can display. HTML has live links to all the sites named in the text so that with a simple click of a mouse you can connect to the site you have just been reading about.

  • My Guarantee
    This newsletter:
    1. Is and will remain free.
    2. Will never include advertising (except targeted Google ads at the bottom of the web page and not in the email newsletter).
    3. Nor will I ever sell, rent, or trade your email address to anyone.
    4. I will link sources of information.
    5. I will disclose any conflict of interest.
    6. If and when I learn of any errors of fact, I will correct them.

Archives:

    I now send out Diabetes Update once a month. Previous issues are online:

  1. Diabetes Update Number 1: Diabetes Genes of December 10, 2000
  2. Diabetes Update Number 2: DiabetesWATCH of December 18, 2000
  3. Diabetes Update Number 3: Starlix of January 3, 2001
  4. Diabetes Update Number 4: Native Seeds/SEARCH, Tepary Beans of January 17, 2001
  5. Diabetes Update Number 5: Insulin Makes You Fat of January 31, 2001
  6. Diabetes Update Number 6: Available and Unavailable Carbohydrates of February 15, 2001
  7. Diabetes Update Number 7: Dates of March 1, 2001
  8. Diabetes Update Number 8: Quackwatch of March 15, 2001
  9. Diabetes Update Number 9: The Cost of Insulin of March 30, 2001
  10. Diabetes Update Number 10: Sof-Tact Meter of April 2, 2001
  11. Diabetes Update Number 11: iControlDiabetes of April 16, 2001
  12. Diabetes Update Number 12: Cinnamon, Tagatose of May 2, 2001
  13. Diabetes Update Number 13: Glycemic Index of May 15, 2001
  14. Diabetes Update Number 14: Eat Your Carrots! of May 31, 2001
  15. Diabetes Update Number 15: Glycemic Load of June 21, 2001
  16. Diabetes Update Number 16: Homocysteine of July 2, 2001
  17. Diabetes Update Number 17: Chana Dal Tips of July 15, 2001
  18. Diabetes Update Number 18: Lag Time in AlternativeLand of August 2, 2001
  19. Diabetes Update Number 19: Fiber of August 15, 2001
  20. Diabetes Update Number 20: How Diabetes Works of August 30, 2001
  21. Diabetes Update Number 21: Insulin Resistance of September 14, 2001
  22. Diabetes Update Number 22: Trans Fats, Honey, CU of October 1, 2001
  23. Diabetes Update Number 23: Pedometer Power of October 15, 2001
  24. Diabetes Update Number 24: Is Glycerin a Carbohydrate? of October 31, 2001
  25. Diabetes Update Number 25: Kill the Meter to Save It of November 15, 2001
  26. Diabetes Update Number 26: Protein, Fat, and the GI of December 1, 2001
  27. Diabetes Update Number 27: Insulin Index of December 14, 2001
  28. Diabetes Update Number 28: Fructose of January 4, 2002
  29. Diabetes Update Number 29: Aspirin of January 14, 2002
  30. Diabetes Update Number 30: Stevia of January 31, 2002
  31. Diabetes Update Number 31: Gretchen Becker’s Book of February 19, 2002
  32. Diabetes Update Number 32: The UKPDS of March 4, 2002
  33. Diabetes Update Number 33: Financial Aid of March 18, 2002
  34. Diabetes Update Number 34: Pre-Diabetes of April 1, 2002
  35. Diabetes Update Number 35: More Glycemic Indexes of April 15, 2002
  36. Diabetes Update Number 36: Gila Monsters of April 30, 2002
  37. Diabetes Update Number 37: Is INGAP a Cure? of May 15, 2002
  38. Diabetes Update Number 38: Native American Diabetes of June 3, 2002
  39. Diabetes Update Number 39: FDA Diabetes of June 19, 2002
  40. Diabetes Update Number 40: Diabetes Support Groups of July 1, 2002
  41. Diabetes Update Number 41: New GI and GL Table of July 15, 2002
  42. Diabetes Update Number 42: Diabetes Sight of August 1, 2002
  43. Diabetes Update Number 43: DrugDigest of August 18, 2002
  44. Diabetes Update Number 44: Hanuman Garden of September 3, 2002
  45. Diabetes Update Number 45: Guidelines of September 16, 2002
  46. Diabetes Update Number 46: Trans Fat of October 4, 2002
  47. Diabetes Update Number 47: Nutrition.Gov of October 16, 2002
  48. Diabetes Update Number 48: Our Hearts of October 31, 2002
  49. Diabetes Update Number 49: Our Kidneys of November 15, 2002
  50. Diabetes Update Number 50: A1C<7 of December 2, 2002
  51. Diabetes Update Number 51: Diabetes Searches with Google of December 16, 2002
  52. Diabetes Update Number 52: e-Patients of January 2, 2003
  53. Diabetes Update Number 53: Email News of January 16, 2003
  54. Diabetes Update Number 54: Third Generation Meters of January 31, 2003
  55. Diabetes Update Number 55: Hypoglycemic Supplies of February 14, 2003
  56. Diabetes Update Number 56: Food Police of March 1, 2003
  57. Diabetes Update Number 57: Vitamins of April 1, 2003
  58. Diabetes Update Number 58: Lancets of May 1, 2003
  59. Diabetes Update Number 59: Accurate Meters of June 1, 2003
  60. Diabetes Update Number 60: Chromium of July 1, 2003
  61. Diabetes Update Number 61: Traveling of August 1, 2003
  62. Diabetes Update Number 62: My Book of September 1, 2003
  63. Diabetes Update Number 63: Hot Tubs of October 1, 2003
  64. Diabetes Update Number 64: Home A1C Testing of November 1, 2003
  65. Diabetes Update Number 65: Detemir of December 1, 2003
  66. Diabetes Update Number 66: Erectile Dysfunction of January 1, 2004
  67. Diabetes Update Number 67: Acidic Foods of February 1, 2004
  68. Diabetes Update Number 68: Net Carbs of March 1, 2004
  69. Diabetes Update Number 69: Glycemic Index of April 1, 2004
  70. Diabetes Update Number 70: Dreamfields Pasta of May 1, 2004
  71. Diabetes Update Number 71: Cholesterol of June 1, 2004
  72. Diabetes Update Number 72: Meter News of July 1, 2004
  73. Diabetes Update Number 73: Pill Splitting of August 1, 2004
  74. Diabetes Update Number 74: GlucoMON of September 1, 2004
  75. Diabetes Update Number 75: Coding of October 1, 2004
  76. Diabetes Update Number 76: Sleep Apnea of November 1, 2004
  77. Diabetes Update Number 77: Keynote Address of December 1, 2004
  78. Diabetes Update Number 78: Mangosteen of January 1, 2005
  79. Diabetes Update Number 79: Noninvasive Dream of February 1, 2005
  80. Diabetes Update Number 80: Pelikan Sun of March 1, 2005
  81. Diabetes Update Number 81: Medtronic Monitors of April 1, 2005
  82. Diabetes Update Number 82: ExtendBars of May 1, 2005
  83. Diabetes Update Number 83: GlycoMark of June 1, 2005
  84. Diabetes Update Number 84: My British Book of July 1, 2005
  85. Diabetes Update Number 85: Disintegrating of August 1, 2005
  86. Diabetes Update Number 86: Meter Research of September 1, 2005
  87. Diabetes Update Number 87: Evaluating Meters of October 1, 2005
  88. Diabetes Update Number 88: When to Test of November 1, 2005
  89. Diabetes Update Number 89: Blogging of December 1, 2005
  90. Diabetes Update Number 90: RSS Feed of January 1, 2006
  91. Diabetes Update Number 91: An Uncommon Doctor of February 1, 2006
  92. Diabetes Update Number 92: More Blog Entries of March 1, 2006
  93. Diabetes Update Number 93: Talking Meters of April 1, 2006
  94. Diabetes Update Number 94: Navigating of May 1, 2006
  95. Diabetes Update Number 95: Measuring Sweat of June 1, 2006
  96. Diabetes Update Number 96: The Future of Pumps of July 1, 2006
  97. Diabetes Update Number 97: Pumping in Real Time of August 1, 2006
  98. Diabetes Update Number 98: The DexCom Sensor of September 1, 2006
  99. Diabetes Update Number 99: GlucoTel of October 1, 2006
  100. Diabetes Update Number 100: Discovery of Byetta of November 1, 2006
  101. Diabetes Update Number 101: My Diabetes Blog of December 1, 2006
  102. Diabetes Update Number 102: Stress of January 1, 2007
  103. Diabetes Update Number 103: UltraMini of February 1, 2007
  104. Diabetes Update Number 104: Salt of March 1, 2007
  105. Diabetes Update Number 105: In Memoriam Catherine of April 1, 2007
  106. Diabetes Update Number 106: Eating Locally of May 1, 2007
  107. Diabetes Update Number 107: Avandia Anxiety of June 1, 2007
  108. Diabetes Update Number 108: Pigs of July 1, 2007
  109. Diabetes Update Number 109: Continuous Testing of August 1, 2007
  110. Diabetes Update Number 110: How Byetta Works of September 1, 2007
  111. Diabetes Update Number 111: Is Diabetes Progressive of October 1, 2007
  112. Diabetes Update Number 112: Gary Scheiner of November 1, 2007
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